03D1015029 CLIA NUMBER - CENTRO DE SALUD FAMILIAR

Laboratory Demographics

  • CLIA Code: 03D1015029
  • Facility Name: CENTRO DE SALUD FAMILIAR
  • Facility Address: 2121 W INDIAN SCHOOL RD
    PHOENIX, AZ
    ZIP 85015
  • Facility Phone: 602 241-9105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PARABATIE MISIR
  • NPI Number: 1154741957
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1015029
LAB Type Physician Office
Facility Name CENTRO DE SALUD FAMILIAR
Street 2121 W INDIAN SCHOOL RD
City PHOENIX
State AZ
ZIP 85015
Phone 602 241-9105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director PARABATIE MISIR

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This page was last updated on: 9/29/2025